NATHANIEL GANDY LANE PA-C
NPI 1528427994
Physician Assistant - Medical in Fort Bragg, CA
About Nathaniel Gandy Lane Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIEL GANDY LANE PA-C (NPI 1528427994) is an individual medical provider in Fort Bragg, California, licensed in California (53182) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nathaniel Gandy Lane Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nathaniel Lane's NPI number?
The NPI number for Nathaniel Lane is 1528427994. It was assigned to this individual provider in the NPPES registry on February 15, 2016.
Where is Nathaniel Lane located?
Nathaniel Lane practices at 205 South St, Fort Bragg, CA 95437. The listed phone number is (707) 964-1251.
What is Nathaniel Lane's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nathaniel Lane enrolled in Medicare?
Yes. Nathaniel Lane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Nathaniel Lane was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nathaniel Gandy Lane, PA-C · NPI 1528427994
Medical physician in Fort Bragg, California. Individual provider, active in the CMS NPPES registry since February 15, 2016.
## Identity
- **NPI:** 1528427994 (Entity type: Individual)
- **Enumerated:** February 15, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 53182 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 205 SOUTH ST, Fort Bragg, CA 95437-5540
- **Phone:** (707) 964-1251
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Oklahoma College Of Medicine, class of 2015
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528427994) · Data from the CMS NPPES public registry.